Introduction. Hypospadias is one of the most common urological pathologies in boys, requiring surgical correction. More than 300 methods of hypospadias correction have been described in the literature. This indicates the absence of ideal methods and standards of treatment that satisfy the majority of pediatric surgeons and urologists. In recent decades, distension methods of treating hypospadias have not been popular due to the high frequency of meatostenosis formation in the postoperative period. It is important to develop modifications of the surgical technique of transpositional urethroplasty aimed at reducing the frequency of meatostenosis formation. Various types of postoperative dressings and their effect on the occurrence of postoperative complications were considered.
Objective. To improve the results of surgical treatment of boys with distal forms of hypospadias by introducing transpositional urethroplasty with non-disarticular spongioplasty.
Materials and methods. A modified method for the correction of distal forms of hypospadias is presented-transposing urethroplasty with non-disarticular spongioplasty. The standard A.B. Belman technique was used to treat 44 patients (group I). Between 2016 and 2024, 105 boys were operated on using the author's technique (group II). The results of using two types of postoperative dressings were analyzed: cyanoacrylate adhesive dressing and standard circular dressing fixed with elastic adhesive bandage. The postoperative observation period ranged from 6 to 36 months.
Results. The study demonstrated the high efficacy of the proposed urethroplasty method compared to the classic one. The total number of postoperative complications in the second group was 3.8 times lower. The risk of developing grade II complications when using a postoperative gauze glycerin dressing fixed with a self-adhesive elastic bandage is 7.8 times higher than when using an acrylate applicator for the penis. Cosmetic results in both groups were rated as excellent.
Conclusions. Transitional urethroplasty with non-disruptive spongioplasty provides a lower incidence of meatostenosis compared to the classic Belman technique. The method of acrylate application to the penis reduces the number of early postoperative complications by 3.5 times compared to standard adhesive dressings.